Gary Fanjiang
MD | Pediatric Gastroenterology | Male
Gary Fanjiang, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Gary Fanjiang is
55 Fruit St, Vbk 107, Boston, Massachusetts - 02114-2621. He can be contacted on phone at
617-724-2561.
Gary Fanjiang is a sole proprietor of his business.
NPI number (Unique professional ID) for Gary Fanjiang is
1982694147 which was assigned by NPPES on 27 Oct, 2005 and it was last updated on 03 Sep, 2008.
Gary Fanjiang license number is
C10008372 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Delaware.
Gary Fanjiang specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Gary Fanjiang basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Gary Fanjiang |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Gary Fanjiang address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Fruit St, Vbk 107
Boston, MA, 02114-2621
United States |
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| Phone Number : | 617-724-2561 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982694147 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Oct, 2005 |
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| Last Updated On : | 03 Sep, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary Fanjiang are as mentioned. Primary taxonomy code for Gary Fanjiang, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 220677 | MA |
| 208000000X | Pediatrics | No | 220677 | MA |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | C10008372 | DE |
Legacy Identifiers:
Other legacy medical identifiers of Gary Fanjiang such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 4141563 | MEDICAID | MD | |
| 102104221 | MEDICAID | PA | |
| 0152188 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 9142
Charlestown, MA, 02129-9142
United States |
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| Phone Number : | 617-724-0287 |
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| Fax Number : | 617-726-2894 |
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Business Location:
Patients can refer following map for directions to
Gary Fanjiang practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.